The current climate of accountability and public scrutiny in the health and social care professions demands a high level of responsibility by health professionals in terms of understanding, updating and credibly using their professional knowledge. To achieve this, health professionals need to acknowledge the wide variety of sources from which their knowledge is generated: they need a sound working knowledge of practice epistemology which investigates the nature of knowledge and knowledge generation which underlies practice. The call from community, governments and employers is for evidence-based practice with the expectation that health professionals fully understand the knowledge which underpins their practice and can therefore justify their practice. This book examines the nature, generation and development of professional knowledge in the health professions, with particular emphasis on physiotherapy, occupational therapy, medicine and nursing. It is a user-friendly resource book accessible for practitioners, clinical educators, tertiary educators, research students and researchers. What constitutes practice knowledge? How is this knowledge created and developed? What roles do health professionals play in understanding and developing their practice knowledge? Readers, whether from a practice, education or research background, are invited to consider the implications of these questions for their practice. More than ever, the rapidly changing worlds of work and society are providing many challenges to the adequacy of the knowledge bases of the health professions and the capacity of health professionals to critique and develop their knowledge to meet community needs. These issues are explored in this book.
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The authors of this book have brought their wide range of experience, knowledge and expertise to present many angles of one central argument. We are advocating that practice epistemology, or knowing how practice knowledge is created, used and developed (further), should become an explicit dimension of the core, the regularity and the expectation of professional practice. A clear understanding of epistemological beliefs is especially important in the face ofthe uncertainties inherent in the information revolution and the postmodern world. The book presents a collection of peer-reviewed chapters which examinefour core issues:
What constitutes practice knowledge?
How is this knowledge created and developed?
What are the roles of practitioners, researchers and educators as individuals and members of their communities of practice in understanding and developing practice knowledge?
Whatare the implications of a practice epistemology model for practice, education and research in the health sciences?
We look forward to your participation in this discourse.
Joy Higgs, Barbara Richardson and Madeleine Abrandt Dahlgren
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